Organization
WINN PARISH NEPHROLOGY, APMC
Active
Other names
Ricky Dale Hendrix, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY DALE HENDRIX M.D. (PRESIDENT)
(318) 628-5565
Entity
Organization
Contact information
Practice address
603 W COURT ST, WINNFIELD, LA 71483-2633
(318) 628-5565
(318) 628-5950
Mailing address
PO BOX 1334, WINNFIELD, LA 71483-1334
(318) 628-5565
(318) 628-5950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.016338
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348732
—
LA
Enumeration date
10/23/2006
Last updated
08/22/2020
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